Fill and Sign the Notice of Commencement Corporation 490218355 Form

Notice of Commencement Page 1 of 2 Prepared by, recording requested by and return to: Name: __________________________ Company: _____________________ Address: ___________________ City: ___________________ State: _____ Zip: __________ Phone: __________________ Fax: _______________ ----------------------Above this Line for Official Use Only--------------------- NOTICE OF COMMENCEMENT- CORPORATION (S.D. Codified Laws Ann. § 44-9-50) COMES NOW, _________________________________, as a representative of ___________________________________ a _________________________________ corporation, of the following address, ___________________________________________________________________________, as a party who is supplying labor and/or materials, under direct agreement with the property owner or his agent, for the improvement of the property located at and described as ____________________________________________________________________________ ________________________________________________________________________, and would state as follows: 1. On or about the _____ day of _______________, 20______ the undersigned commenced the furnishing of labor or materials for the improvement of the above described property. 2. The above-described property is owned or is being developed by _______________________________, of the following address ____________________________________________________________________________. 3. A general description of the improvement is as follows: ________________________________________________________________________________________________________________________________________________________. This the _____ day of _______________, 20_______. ____________________________ Signature____________________________ Type or Print Name____________________________ Title Notice of Commencement Page 2 of 2 ____________________________ Corporation Attest: Secretary State of South Dakota County of __________________ On this , the ______ day of ____________ , 20______ , before me, ______________________________ , the undersigned officer, personally appeared ______________________________ , who acknowledged himself to be the ____________ of ________________________ , a corporation, and that he/she, as such ________________________ being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself/herself as __________________. In witness whereof I hereunto set my hand and official seal. Notary Public, State of ____________ My commission expires: Type or Print Name